How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $109.65 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $33.88 | $39.81 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $74.13 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $4,897.79 | Facility | None | $676.08 | $1,096.48 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $120.23 | $123.03 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $38.02 | $38.02 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $144.54 | Professional | TC · Technical part | $83.18 | $85.11 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $33.11 | $66.07 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,511.89 | Facility | None | $977.24 | $1,318.26 | $2,511.89 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $151.36 | $177.83 | $218.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $54.95 | $67.61 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $104.71 | $120.23 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $630.96 | Professional | None (both parts) | $97.72 | $120.23 | $630.96 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $41.69 Median $104.71 Typical High $218.78 | Professional | None | $41.69 | $104.71 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $109.65 | $128.82 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $58.88 | Professional | 26 · Professional part | $33.11 | $35.48 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $75.86 | $87.10 | $147.91 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $54.95 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $21.88 | $37.15 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $87.10 | $147.91 | $147.91 |
Where Utah sits
The same service costs 4.6 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Utah· 50th of 51
$74.13
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.